Yemane Aregawi
Individual provider Active NPI Driver · Aurora, CO
NPI 1013372770 · NPPES record last updated Dec 23, 2015
Key facts
- NPI
- 1013372770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 81-0809619 (CO)
- Practice address
- 2780 S Ensenada CT
Aurora, CO 80013 - Phone
- (832) 641-0674
- NPI assigned
- Dec 23, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81-0809619 | CO | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 81-0809619 | CO | |
| Driver | 172A00000X | 81-0809619 | CO | Yes |
Addresses
Primary practice location
2780 S Ensenada CT
Aurora, CO 80013
Mailing address
2780 S Ensenada CT
Aurora, CO 80013
Phone (832) 641-0674
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.